Abstract:
Objective To study the clinical effect of end to end manual digestive tract reconstruction in laparoscopic radical resection of left colon cancer.
Methods The clinical data of 85 patients who underwent complete laparoscopic resection of left semicolon malignant tumor from January 2019 to March 2021 were retrospectively analyzed. According to different anastomotic methods，they were divided into manual group and stapler group. The manual group used colon-colon end-to-end manual suture（n=36 cases），and the stapler group used stapler anastomosis（n=49 cases）. Statistical software SPSS 24.0 was used for data analysis. Perioperative indicators and other measurement data were expressed as（
±
s），and
t test was used. Postoperative complications were counted by
χ2 test.
P<0.05 was considered statistically significant.
Results The operation time and anastomosis time in manual group were longer than those in stapler group，but the first postoperative exhaust time and hospitalization cost were lower than those in stapler group.（P<0.05）. There were no significant differences in surgical bleeding and lymph node dissection between the two groups（P>0.05）. The incidence of postoperative complications was 22.2% in the manual group and 26.5% in the stapler group，and there was no significant difference in the total incidence of postoperative complications between the two groups（P>0.05）.
Conclusion Colon-colon end-to-end manual suture for digestive tract reconstruction is safe，feasible and economical in complete laparoscopic radical resection of left colon cancer，and it is recommended for clinical use by physicians with skilled manual anastomosis experience.
Key words:
Colonic neoplasms,
Laparoscopes,
Digestive tract reconstruction,
End to end manual suture,
Manual suture
Feng Zhou, Desheng Sha, Falan Shi, Xuefeng Chu, Wei Chen. Clinical study of end to end manual suture in laparoscopic radical resection of left colon cancer[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2022, 16(03): 307-310.